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2001-082 T TOWN OF QUEENSBURY 742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20010082 Date Issued: Friday, May 11, 2001 This is to certify that work requested to be done as shown by Permit Number P20010082 has been completed. Tax Map Number: 523400-239-017-0001-008-000-0000 Location: 27 ANTIGUA Rd Owner: CRAIG BROWN Applicant: CRAIG BROWN This structure may be occupied as a: By Order of Town Board Septic Alteration Commercial TOWN OF QUEENSBURY 4„,P Director of Building Code nforcement TOWN OF QUEENSBURY ` iriza 742 Bay Road,Queensbury,.NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010082 Application Number: A20010082 Tax Map No: 523400-001-000-0001-008-000-0000 Permission is hereby granted to: CRAIG BROWN - For property located at: 27 ANTIGUA Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: CRAIG BROWN Septic Alteration Commercial 27 ANTIGUA Rd Total Value LAKE GEORGE,NY 12845 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications BP Septic Alteration - Commercial for 5 bedroom house at 27 Antigua Road 1,500 gallon tank as per plot plan and specifications $35.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,March 01,2003 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer Dated at the Town Qu nsb hur. s ay,,March 01, 2001 SIGNED BY - for the Town of Queensbury Director of Building&Code Enforcement (d 61v, Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: � ffice Use Location of installation: �� Ara. G ?Oo (—�Q. J File Permit No. , Tax Map No. r e / / / ; c ���� • Fee P �1 2r1 Owner's Name: ei Address: O J f0t9 k ,L-l "`t l�Q., . '"4 2. INSTALLER'S NAME : CroMJdN`'l 4\)(C Otv t6Y\ PHONE NO7q3 0q3/ 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow ct Ad a- dgef 1980 or older x 150 gaUbdrm = 1980— 1991 x 130 gal/bdrm = � 1991 —present 5 x 110 gal/bdrm = S SO R�L t -,�� P Garbage Grinder Installed yes / no I/ MAR 0 2001 Spa or Whirlpool Installed yes / no t/ TOWN OF QUEENSBURY BUILDING AND CODE 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) To ography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat an, at what depth at what depth municipal o ing Z��� �r �— feet feet we ;• Steep slope c : r_ / well; water supply _%slope other / �` °"` from any septic-system depth: 4-1 ��d� absorption is /,0 ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: y minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: 0 0 gallon (min. size 1,000 gal) Tile Field: each trench ft. Total System Length: f ./ Seepage Pit(s): number of size of each: (v ft. by I f ft. Size of Stone to be used: # 8 / depth or thickness �o feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Que nsbury Sanitary Sewage Disposal Ordinance. .tee Signet of responsible person Date (cif d , TOWN OF QUEENSBURY BUILDING &_CODE ENFORCEMENT v'' 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name (:c c- fG--T1--- Locatio _ (9-7 J - e-i Date If ) : ,,Permit # ' —(18 .,„ SOIL TYPE: San -. m-Cla = Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Taal Length Length of each tren, Depth of trenches Size of stone illi SEEPAGE PITS: Numb- - 1 Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank if` Tank. to Dist. : : Dist. Box to Field/Pit Openings Sealed? Ye. No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorptiiin feet Separation of Pits _ feet Conforms as per Plot P an Yes No LOCATION OF SYSTEM ON 'ROPERTY: (circle one) Front - Rear - Left S 'de - Right Side Middle Front - Middle Rear COMMENTS: S 6�� 7 /AJhf�d -/,‘ a / 7/,57 SYSTEM USE APPROVED: YES 0 Arrived: A 3u Departed: Building Inspector TOWN OF QUEEKSBURY BUILDING &---CODE ENVORCENERY 742 Bay R"gx4 Que-N-E-!�_Sbot,�_ry_ MY IL2004 (518) 7451-8256 SEPT-IC DISPOSAU -SYSTEM INSPECTION Name A � kj Location D a t e- 11 P a r-m I t -#-(2:> SOXE YYPL- Sand- Lco>a Cl a_v- R,e-sults of Par-cola b Yl--mr,)Tc-_st- ( I -F applicable ) Ra - MI ut;*---/Inch TYPE OF SYSTEM ABSORP-rION FIEL-D: Ata7llLength of o each ti-eh Depth of tr-enches, Size 0-f st ne SEEPAGE P N Ell SIZE? Stone size PIPING: e- Bldg . 1--c> Tank Tank.- to Dist- - Box .,v-z Dist - Box to Flold/P ' Openings Seal end ? Ye No Par-tial L_OCA-T1[ON,/SEPARA-FIOff1W Foundation -to Tank -F o,e 7t ,p - SiS 1 S -7- Y A F4c)undation to Absor-pt_I -F a c--t Se-pai-at-ion of Pits e t t l n Con-f�orms as pear P1 0-1,_- pl n yes No 0 0 LOC^_TION OF SYS-rEM ON P ()PER CFro-1 1 "' e,�" one ) b - Rear - Left Side Right. Side Cdle Front - Middle Rear COP414ENI-S z SYSTEM USE APPROVED = YES NO A v-r-I%-c-- D im-p a ir-f--t-ad Bull 4d-ing ,..:: +) ,1 � . , � , '- A. #� � �► Q1 fU ; . err r � `. 4- 4- 4- LO it 4010 4J 4 v w 0 ; I ` 0) Na � 4J�. ;4E - 'a +� .� ' C t 'U � ,� 0 cnrSu Off .+.I r IY °° S. U! X r- N W +� 00 So. Q1 W .0 Ul �m N � a0. 1�} b 0 Or- LUH U C 0 ., ,� . r- 0 cn a .0i wroaC � ' C4J0ro1 +� 4-� 00. e-s 4.) z � W 0 or- 0 6 �- � L N M X 0 0 0 J u W f'"" �# fl �}+ �r' 0 0 { �s or It" �r- (� U. rT t A A 4 Q c Z ° r � '7 '0 S- 0� U � r � 4�'� ¢� ro a� -J � wO0)-P040cNt)� � V1 E U +1 M u) 4— O. V) C0. 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BROWNS QUEEN 27 Antigua Road Lake George,NY 12845 (518)668-2556 BAR 01 2001 TOWN of E CG VoESDUER: ANTIGUA MAIN HOUSE SYSTEM: Five bedroom house with 1.6 Gal. flush toilets and low flow fixtures=550 Gal. per day of flow. 1 . rate 1"per 4 min. 1.2 application rate. 550 0 1.2=458.33 sq. ft of drywall needed. (Absorptive Area for Cylinder—ft DH) OR 3.14 X diameter X height=absorption area. 3.15 X 8(depth)X 11 (width)=277.20 absorption area 2 pits X 277.20=554.40 Total absorption area ANTIGUA 3 bedroom unit system: Three bedroom unit with 1.6 Gal. flush toilets and low flow fixtures=330 Gal. per day of flow. Perc. rate 1"per 4 min= 1.2 application rate 330=1.2=275 sq. ft of drywall needed. 3.15 X 8(depth)X 11 (width)=277.50 absorption area. *Seepage pits are to be spaced a minimum of 45 O.C. **Both neighbors draw their water from the lake and have no wells. ***Antigua well is 150 feet from first proposed pit. • 1 ii q:7%i�t�'Jr�Y;': Sl; 4'.,?14i,:-.'4F[• ;:•[:, ray:;'• •;.y • 14 s5 - `• Ylni'ttiy 7 1' i_w 1t i 4!t T• i '� rt T ..:..:: f r +a�9y. ty }I ` .,F. a• i t 1.'1 r :,i: ?4'. .,ii t ,,�II{Y�r'� +"ri l� ' J r .r,is:' i ,� 1, i ,.i S 5. 41j t .k r4y it 1�t t+ : r1 i. ,,tll �.{ Rio' { 00 �y • • • • . c� x'1i t \�,tW ic: •!dr.k.,ryti.t .iI V, t*-3 '� f'10.t........• � s �[ St• '• d J Y , c tJ r • i1 {" 1 }y, t k�. .} }`!.;MI �' • }d ";l "�1 , s.�SQ,:r, ,'-' �IiiV;;Tt ,T•f4 y 7 t lc M..C.oC,I ,.yn�,. •.• .•:. . 5"1.r} � j .. t.i v:#4.:i' ,4f t .. , , 1.5 1I 11LJlV�,\ nY �y .� tI r �, W it • u .�; OP' .r� Iq(ll }1 1�� ' ,�i t+ sN r,1 t 1h'h�C 1 1<. \ {Rid . i �:..,v. 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